Jacqueline Castaneda, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4606 Issued in PR

Practice address

139 -10 Calle 401
Villa Carolina 4Ta Extension
Carolina, PR 00985-4014

Phone

(787) 397-3223

NPI assigned

Jan 23, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1093053266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L'ANTIGUA LB-18 VIA MALLORCA ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766101",
            "telephone_number": "787-397-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 -10 CALLE 401",
            "address_2": "VILLA CAROLINA 4TA EXTENSION",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009854014",
            "telephone_number": "787-397-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan R Carreras, M.D.
• Jessica Carrion, PTA
• Marisol Casas Burgos, MD
• Neitza Darlene Casillas, MSW
• Jessica Marie Casso Santiago
• Castellana X Ray
• Michelle Castellanos Martin, MD
• Maruquel Castillo - Veliz, M.D.
• David A Castillo
• Sharrilyn E Castillo

• Clinical Psychologist in Carolina, PR
• Providers in Carolina, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.